Journal of Pediatric Psychology, Vol. 28, No. 4, 2003, pp. 287-293
© 2003 Society of Pediatric Psychology
Case Study: Feasibility of Multisystemic Therapy as a Treatment for Urban Adolescents With Poorly Controlled Type 1 Diabetes
1 Wayne State University, 2 Children's Hospital of Michigan, 3 Medical University of South Carolina, 4 University of New Mexico
All correspondence should be sent to Deborah A. Ellis, Department of Child Psychiatry and Psychology, Children's Hospital of Michigan, 3901 Beaubien, Detroit, Michigan 48201. E-mail: dellis{at}med.wayne.edu.
Objective To determine the feasibility of using multisystemic therapy (MST), an intensive, home-based psychotherapy, to improve poor metabolic control among four adolescents with type 1 diabetes. Method A multiple baseline, repeated measures design was used. Blood glucose readings were obtained every 2 weeks during a baseline period, a 7-month intervention, and a month-long postintervention period. Glycosylated hemoglobin (GHb) was measured at baseline and follow-up and was contrasted between two participants who received MST and two participants who did not receive the intervention. Results Intervention participants showed improvements in health status, as well as fewer hospitalizations and emergency room visits. Conclusions Findings from this case study suggest that MST has the potential to improve treatment adherence and metabolic control among teens with poorly controlled type 1 diabetes.
Key words: treatment adherence; diabetes; multisystemic therapy.
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